Individual
DR. JIN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 ALCOVY ST, MONROE, GA 30655-2140
(770) 267-8461
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
049599
GA
207R00000X
Internal Medicine Physician
Primary
49599
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000906903C
—
GA
Enumeration date
06/16/2006
Last updated
10/21/2019
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